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Is your cell phone always on and within reach?
 
No
 
Yes

 
 
 
If you are talking to someone and your cell phone rings, do you answer it without excusing yourself?
 
No
 
Yes

 
 
 
If you have an appointment and notice you left your cell phone at home, do you go back to retrieve it even it if makes you late?
 
No
 
Yes

 
 
 
When you go to the bathroom, do you take your cell phone with you?
 
No
 
Yes

 
 
 
Have you ever interrupted an intimate situation to answer your cell phone?
 
No
 
Yes

 
 
 
Do text while driving your car?
 
No
 
Yes

 
 
 
How many text messages do you send and receive in a day?
 
None
 
1-25
 
26-50
 
51-100
 
101+

 
 
 
How many phone calls do you send and receive in a day?
 
None
 
1-10
 
11-20
 
21-30
 
31+

 
 
 
How often do you interrupt face-to-face contact with someone to answer the phone?
 
Never
 
Seldom
 
Sometimes
 
Usually
 
Always

 
 
 
How often do you use your cell phone while banking, shopping, waiting in line or conducting other personal business?
 
Never
 
Seldom
 
Sometimes
 
Usually
 
Always

 
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